Evidence map›Paper›PMID 34937947›Full record

Trial reportBritish journal of cancer2022

Effect of aflibercept plus FOLFIRI and potential efficacy biomarkers in patients with metastatic colorectal cancer: the POLAF trial.

Elena Élez, María Auxiliadora Gómez-España, Cristina Grávalos, Pilar García-Alfonso, María José Ortiz-Morales, Ferrán Losa, Inmaculada Alés Díaz, Begoña Graña, Marta Toledano-Fonseca, Manuel Valladares-Ayerbes and 10 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in British journal of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Advances in tumor vascular growth inhibition.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 14 institutions in 1 country.

Elena ÉlezDepartment of Medical Oncology, Vall d'Hebron Hospital Campus and Institute of Oncology (VHIO), Universitat Autònoma de Barcelona, Passeig de la Vall d'Hebron, 119, 08035, Barcelona, Spain.
María Auxiliadora Gómez-EspañaDepartment of Medical Oncology, IMIBIC, Reina Sofía Hospital, University of Córdoba, CIBERONC, Instituto de Salud Carlos III, Avenida Menéndez Pidal, S/N, 14004, Córdoba, Spain.
Cristina GrávalosDepartment of Medical Oncology, H. Universitario 12 de Octubre, Instituto de Investigación i + 12, Avenida de Córdoba, S/N, 28041, Madrid, Spain.
Pilar García-AlfonsoDepartment of Medical Oncology, H. Gregorio Marañón, Calle del Doctor Esquerdo, 46, 28007, Madrid, Spain.
María José Ortiz-MoralesDepartment of Medical Oncology, IMIBIC, Reina Sofía Hospital, University of Córdoba, CIBERONC, Instituto de Salud Carlos III, Avenida Menéndez Pidal, S/N, 14004, Córdoba, Spain.
Ferrán LosaDepartment of Medical Oncology, H. Sant Joan Despí - Moisés Broggi, Carrer d'Oriol Martorell, 12, 08970, Sant Joan Despí, Barcelona, Spain.
Inmaculada Alés DíazDepartment of Medical Oncology, Unidad de Gestión Clínica Intercentros de Oncología Médica. Hospitales Universitarios Regional y Virgen de la Victoria. IBIMA, Campus de Teatinos, S/N, 29010, Málaga, Spain.
Begoña GrañaDepartment of Medical Oncology, C. H. Universitario, Lugar, Xubias de Arriba, 84, 15006, A Coruña, Spain.
Marta Toledano-FonsecaDepartment of Medical Oncology, IMIBIC, Reina Sofía Hospital, CIBERONC, Instituto de Salud Carlos III, Avenida Menéndez Pidal, S/N, 14004, Córdoba, Spain.
Manuel Valladares-AyerbesDepartment of Medical Oncology, H. Virgen del Rocío, IBIS, Av. Manuel Siurot s/n, 41013, Sevilla, Spain.
Eduardo PoloDepartment of Medical Oncology, H. Miguel Servet, Paseo Isabel la Católica, 1-3, 50009, Zaragoza, Spain.
Mercedes SalgadoDepartment of Medical Oncology, C. H. Universitario de Ourense, Calle Ramón Puga Noguerol, 54, 32005, Orense, Spain.
Eva Martínez de CastroDepartment of Medical Oncology, H. Universitario Marqués de Valdecilla, IDIVAL, Avenida de Valdecilla, 25, 39008, Santander, Spain.
María José SafontDepartment of Medical Oncology, H. General Universitario, CIBERONC, Avenida de les Tres Creus, 2, 46014, Valencia, Spain.
Antonieta SaludDepartment of Medical Oncology, H. de Lleida Arnau de Vilanova, Avenida Alcalde Rovira Roure, 80, 25198, Lérida, Spain.
Ana Ruiz-CasadoDepartment of Medical Oncology, H. Puerta de Hierro Majadahonda, Calle Joaquín Rodrigo, 1, 28222, Majadahonda, Spain.
Josep TaberneroDepartment of Medical Oncology, Vall d'Hebron Hospital Campus and Institute of Oncology (VHIO), Passeig de la Vall d'Hebron, 119, 08035, Barcelona, Spain.ORCID http://orcid.org/0000-0002-2495-8139
María Del Carmen RiescoDepartment of Medical Oncology, H. Universitario 12 de Octubre, Instituto de Investigación i + 12, Avenida de Córdoba, S/N, 28041, Madrid, Spain.
Antonio Rodriguez-ArizaDepartment of Medical Oncology, IMIBIC, Reina Sofía Hospital, CIBERONC, Instituto de Salud Carlos III, Avenida Menéndez Pidal, S/N, 14004, Córdoba, Spain.
Enrique ArandaDepartment of Medical Oncology, IMIBIC, Reina Sofía Hospital, University of Córdoba, CIBERONC, Instituto de Salud Carlos III, Avenida Menéndez Pidal, S/N, 14004, Córdoba, Spain. earandaa@seom.org.ORCID http://orcid.org/0000-0002-5471-2842
Instituto de Salud Carlos III · ESHospital Universitario 12 De Octubre · ESComplejo Hospitalario de Ourense · ESComplexo Hospitalario Universitario A Coruña · ESHospital Arnau de Vilanova · ESHospital de Sant Joan Despí Moisès Broggi · ESHospital General Universitario De Valencia · ESHospital General Universitario Gregorio Marañón · ESHospital Universitario Miguel Servet · ESHospital Universitario Puerta de Hierro Majadahonda · ESInstituto de Investigación Biomédica de Málaga · ESInstituto de Investigación Marqués de Valdecilla · ESUniversitat Autònoma de Barcelona · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAflibercept is an antiangiogenic drug against metastatic colorectal cancer (mCRC) combined with 5-fluorouracil/leucovorin/irinotecan (FOLFIRI); however, no antiangiogenic biomarker has yet been validated. We assessed aflibercept plus FOLFIRI, investigating the biomarker role of baseline vascular endothelial growth factor A (VEGF-A) and angiotensin-converting enzyme (ACE).

methodsPhase II trial in oxaliplatin-treated mCRC patients who received aflibercept plus FOLFIRI. The reported 135 ng/mL ACE cut-off was used and ROC analysis was performed to assess the optimal VEGF-A cut-off for progression-free survival (PFS). Overall survival (OS), time to progression (TTP), time to treatment failure (TTF), overall response rate (ORR) and disease control rate (DCR) were also assessed.

resultsIn total, 101 patients were followed for a median of 12 (6-17) months. The 1941 pg/mL VEGF-A was an optimal cut-off, with a longer median PFS when VEGF-A was <1941 versus ≥1941 pg/mL (9 versus 4 months). Patients with VEGF-A < 1941 pg/mL showed longer median OS (19 versus 8 months), TTP (9 versus 4 months) and TTF (8 versus 4 months), along with higher ORR (26% versus 9%) and DCR (81% versus 55%). No differences were identified according to ACE levels.

conclusionsThis study supports aflibercept plus FOLFIRI benefits, suggesting VEGF-A as a potential biomarker to predict better outcomes.

Indexed as

Colorectal NeoplasmsVascular Endothelial Growth Factor AAntineoplastic Combined Chemotherapy ProtocolsBiomarkersCamptothecinFluorouracilHumansIrinotecanLeucovorinReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsafliberceptBiomarkersCamptothecinFluorouracilIrinotecanLeucovorinReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVascular Endothelial Growth Factor A

Identifiers

PMID34937947
PMCPMC8927487
OpenAlexW4200280593

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.